@layout("/common/_form.html",{js:["/assets/vipInfo/vipInfo_add.js"]}){

<form class="layui-form" id="vipInfoForm" lay-filter="vipInfoForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" type="hidden"/>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">姓名<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="name" name="name" placeholder="请输入姓名" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">联系方式<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="phone" name="phone" placeholder="请输入电话" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">会员等级<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="vipLevel" name="vipLevel" placeholder="请输入会员等级" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">推荐人<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="referrer" name="referrer" placeholder="请输入推荐人" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">生日<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="birthday" name="birthday" placeholder="请输入生日" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">性别(字典)<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="sex" name="sex" placeholder="请输入性别(字典)" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">状态(字典)<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="status" name="status" placeholder="请输入状态(字典)" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}